Application for Admission

First Name *

Middle Name

Last Name *

Suffix Jr., Sr., III, etc.

Former Name (if applicable)

Address *

City *

State/Province *

Country *

Zip Code * U.S. addresses only - 5-digit ZIP code

International Postal Code For Canada and other countries

County of Residence *

St. Clair Sanilac Macomb Huron Lapeer Other (Enter in next box)

Other County Enter if you answered "Other" to the previous question.

Are you a citizen of the U.S.A.? * If you are not a citizen of the U.S.A. (excluding resident aliens), please visit www.sc4.edu/international for an International Student Application for Admission. If you are not a U.S. citizen but possess a visa or green card, you are required to submit a copy of it with your Application for Admission.

Yes No (See note regarding non-citizens)

Phone *

Alternate Phone

Date of Birth * (MM/dd/YYYY)

Social Security Number You are required (by the federal government) to provide your SSN if you will be applying for federal financial aid or will need your tuition information for federal tax credits.

Unique Identification Code (UIC) Available on Michigan K-12 school transcript or from your high school counseling office. Not every applicant will have a UIC; leave blank if uncertain. (If entered, UICs have 10 digits, including any leading zeros.)

Email Address *

Applicant Information

Applicant